Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

156 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for severe cramping under the ribs radiating to the back

Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 12541 Questions

default
Posted on Fri, 10 Mar 2017 in Abdominal Pain
Question: Cramping pain under right rib radiating around middle back area
doctor
Answered by Dr. T Chandrakant 12 minutes later
Brief Answer:
As detailed below.

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Female/60 - cramping pain under right rib - radiating around middle back area - taken Ibuprofen ...

With the short history the probable reasons may be:
Gall bladder inflammation
Liver inflammation
Right Kidney problems.
If the pain is superficial, in the skin being enhanced even by touch then the chances are of neurological like Herpes zoster/Shingles, nerve compression or entrapment.

Please give additional information:
Any associated nausea, vomiting, bloating, change in bowel habits?
Fever or any other constitutional symptoms?
Is the skin sensitive, any rash on the skin in line with nerve distribution?

Awaiting for your feedback.
With Regards.



Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. T Chandrakant 46 minutes later
Hi Dr. Thank you for your promp response. I had my gall bladder removed 21/2 years ago and since then have had pain like this before. Doctor said it probably scar tissue . Is it possible to have shingles and hove no visible rash?

Sometimes I get aprickly and itch sensation.
doctor
Answered by Dr. T Chandrakant 2 minutes later
Brief Answer:
Usually not seen but possible.

Detailed Answer:
Thanks for your feedback.
Noted the GB was removed.
Usually Shingles will be having the history in past causing neuralgic pain like this.
Sometimes mild rash might have come in past but might have been trivial and hence not noticed. This is seen in practice.
Secondly, it is better to get the MRI of the thoracic spine to see if there is any prolapsed disc problem or so causing such a pain.


Brief Answer:
Nerve related most likely

Detailed Answer:
Hi again,

As per this descriptions, it goes in favor of neurological pain.
Please get a Neurological evaluation, investigations and management accordingly.

Regards

Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Medical Topics

Recent questions on  Ibuprofen

doctor1 MD

My left upper leg just above the knee feels like there is a band around it squeezing and is very painful. I have been taking 600mg of Ibuprofen once a day for the last 2 days with very little relief. My foot also began to swell last pm. I do exercise daily walking at a moderate pace (3.7-4.2mph) for 4-5 miles.

doctor1 MD

I had a rod placed in my femur 6 years ago it was fine for the first 4 years but after that I have had pain in it just about every day. I take ibuprofen for it but it this normal? I have had xrays docttors say it is fine but it sure doesnt feel fine.

doctor1 MD

I have just been prescribed Zydol 50mg (twice daily) to take for pain relief from leg ulcers. I am currently taking 6 x 30/500mg Co-codamol per day (once in the morning, lunch time and evening) and 3 x 400mg Ibuprofen if required during the day. I am not sure when to take the Zydol. Do I take it before co-codamol?

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here... What do you mean it is not serious if you get blood in urine after strenuous exercise? I have just been on a fairly strenuous hike. A little blood in urine. This has happened before. On doctor s advice I stopped taking ibuprofen and aspirin while hiking (for bad knees). Took two tylenol today. Same damn blood. Any advice?

doctor1 MD

I am 14 weeks pregnant with twins. For the past 3 days am having severe shooting pain in my arms and shoulders. It started with left hand now moved to right hand. Even my right knee, ankle and thighs have started to pain. I have applied pain...

doctor1 MD

I'm 27 year old female from past few days I have got joint pains . especially while climbing up and down the stairs along with the cracking sound. went to orthopedician they suggested couple of tests related to auto immune arthiritis, results are...

doctor1 MD

My left testicle has been giving me slight pain and discomfort for around a week now. Especially when I lay on my side to go to sleep, it floats substantially in front of my right testicle. When I m standing it is more elevated than my right, and...